Pelvic Control Characteristics During Static Balance in Patients with Multiple Sclerosis: A Novel Sensor-Based Study
Zofia Dzięcioł-Anikiej1,2, Anna Kuryliszyn-Moskal1, Alina Kułakowska3
1Department of Rehabilitation, Medical University of Białystok, 15-089 Białystok, Poland.
Journal of Clinical Medicine
|June 13, 2025
Summary
Objective assessment of balance and gait in multiple sclerosis (MS) patients using accelerometers and baropodometric mats revealed significant differences compared to healthy individuals. Pelvic area measurements are crucial for detecting MS-related functional impairments.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Biomedical Engineering
Background:
- Multiple sclerosis (MS) is a central nervous system disease causing inflammation and neurodegeneration.
- MS can impair motor, sensory, and visual functions, affecting balance, gait, and quality of life.
- Objective functional assessment methods are needed for balance and gait disorders in MS patients.
Purpose of the Study:
- To assess functional status and quality of life in multiple sclerosis patients.
- To simultaneously utilize accelerometer and baropodometric mat data for objective assessment.
- To compare functional and gait parameters between MS patients and a healthy control group.
Main Methods:
- Functional tests included the Tinetti test, Tandem Pivot Test, timed up and go test, and Berg Balance Scale.
- Objective assessment employed the Sensor Medica baropodometric mat and Baiobit balance and gait system.
- The study included 34 relapsing-remitting MS patients and a demographically matched control group.
Main Results:
- Significant differences were observed between MS patients and controls in functional assessments.
- Baropodometric assessments revealed significant differences in balance and gait parameters.
- Accelerometer data from the pelvic area showed significant differences, indicating higher disturbances.
Conclusions:
- Objective assessment using accelerometers and baropodometric mats effectively differentiates MS patients from healthy controls.
- The pelvic area shows higher disturbances, highlighting its importance in MS-related functional assessment.
- Simultaneous measurement of center of gravity displacement on the pelvis and feet is recommended for comprehensive static and dynamic task evaluation in MS.
